International journal of nursing studies advances · 2026
Compassionate care at end of life and nurses' coping with the patient's death: a cross-sectional correlational study.
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Watad Ihab, Sperling Daniel
Аннотация
BACKGROUND: Compassionate care and coping with patient death are central components of nursing practice, particularly in internal medicine settings where end-of-life encounters are frequent and emotionally demanding.
AIM: To examine the relationships between compassionate care, self-compassion, compassion fatigue, compassion satisfaction, and coping with a patient's death among nurses in internal medicine wards.
DESIGN: A cross-sectional quantitative correlational study.
METHODS: A sample of 256 nurses from two Israeli hospitals completed validated questionnaires assessing compassion competencies and coping with death. Data were analyzed using correlations, t-tests, ANOVA, and linear regression.
RESULTS: Compassionate care was positively related to coping with death (r = .561, p <.001, 95% CI [.46, .64], β = .561, R² = .315), self-compassion (r = .494, p <.001), and compassion satisfaction (r = .550, p <.001), and negatively related to compassion fatigue (r = -.622, p <.001). Both self-compassion (r = .561, p <.001) and compassion satisfaction (r = .595, p <.001) were positively associated with better coping with death, while compassion fatigue was negatively associated with coping scores (r = -.499, p <.001). Participation in advanced professional training was associated with higher levels of Compassionate care (d = 0.36, p <.05), coping with death (d = 0.33, p <.05), self-compassion (d =0.23, p <.05), and compassion satisfaction (d = 0.31, p <.05), and with lower compassion fatigue scores (d = -0.34, p <.05). Additionally, age and clinical experience were positively associated with self-compassion (r = .153, p = .015) and coping with death (r = .195, p = .002) and negatively associated with compassion fatigue (r = -.201, p = .001).
CONCLUSION: Compassionate care and self-compassion are positively associated with nurses' ability to manage death-related challenges, while compassion fatigue is linked to lower emotional well-being. Supportive strategies correlate with higher resilience.
IMPLICATIONS: Organizational efforts could usefully explore emotional support and training to strengthen compassionate care and address emotional strain in acute care.
IMPACT: This study explored emotional mechanisms associated with nurses' capacity to deliver compassionate care and cope with death. It highlights compassionate care as a central factor correlated with professional coping. Findings offer guidance for future interventions targeting variables associated with higher resilience and lower emotional burden.
PATIENT OR PUBLIC INVOLVEMENT: This study did not include patient or public involvement in its design, implementation, or reporting.
AIM: To examine the relationships between compassionate care, self-compassion, compassion fatigue, compassion satisfaction, and coping with a patient's death among nurses in internal medicine wards.
DESIGN: A cross-sectional quantitative correlational study.
METHODS: A sample of 256 nurses from two Israeli hospitals completed validated questionnaires assessing compassion competencies and coping with death. Data were analyzed using correlations, t-tests, ANOVA, and linear regression.
RESULTS: Compassionate care was positively related to coping with death (r = .561, p <.001, 95% CI [.46, .64], β = .561, R² = .315), self-compassion (r = .494, p <.001), and compassion satisfaction (r = .550, p <.001), and negatively related to compassion fatigue (r = -.622, p <.001). Both self-compassion (r = .561, p <.001) and compassion satisfaction (r = .595, p <.001) were positively associated with better coping with death, while compassion fatigue was negatively associated with coping scores (r = -.499, p <.001). Participation in advanced professional training was associated with higher levels of Compassionate care (d = 0.36, p <.05), coping with death (d = 0.33, p <.05), self-compassion (d =0.23, p <.05), and compassion satisfaction (d = 0.31, p <.05), and with lower compassion fatigue scores (d = -0.34, p <.05). Additionally, age and clinical experience were positively associated with self-compassion (r = .153, p = .015) and coping with death (r = .195, p = .002) and negatively associated with compassion fatigue (r = -.201, p = .001).
CONCLUSION: Compassionate care and self-compassion are positively associated with nurses' ability to manage death-related challenges, while compassion fatigue is linked to lower emotional well-being. Supportive strategies correlate with higher resilience.
IMPLICATIONS: Organizational efforts could usefully explore emotional support and training to strengthen compassionate care and address emotional strain in acute care.
IMPACT: This study explored emotional mechanisms associated with nurses' capacity to deliver compassionate care and cope with death. It highlights compassionate care as a central factor correlated with professional coping. Findings offer guidance for future interventions targeting variables associated with higher resilience and lower emotional burden.
PATIENT OR PUBLIC INVOLVEMENT: This study did not include patient or public involvement in its design, implementation, or reporting.